目前我国胃癌能得到早期诊断的病例为数甚少,绝大多数病例属中晚期。因此在治疗上单靠手术治疗很难提高五年生存率,必须采取综合治疗。术后复发的病例中相当一部分为上腹部引流胃淋巴的区域或吻合口周围的复发。日本于六十年代起开展了手术配合术中放疗,证明对中晚期胃癌的五年生存率有所提高。我院自1979年9月开始进行胃癌手术加 At present, there are few cases of early diagnosis of gastric cancer in China, and the vast majority of cases are in the middle and late stages. Therefore, it is difficult to increase the five-year survival rate by relying solely on surgical treatment in treatment, and comprehensive treatment must be taken. A significant part of the recurrences after surgery is due to drainage of gastric lymph in the upper abdomen or recurrence around the anastomosis. In Japan in the 1960s, surgery was performed with intraoperative radiotherapy, which proved that the five-year survival rate of advanced gastric cancer was improved. Our hospital began surgery for gastric cancer in September 1979